scholarly journals Treatment of Acute Psychosis with Second-Generation Antipsychotics in a Patient with Left Temporal Lobe Lesion

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Richard Shehane ◽  
Steve Miller ◽  
Luke Suber ◽  
Miranda Chakos

We present a case of rapid onset severe psychosis followed by suicide attempt in a United States Navy sailor. Investigation revealed a left temporal lobe brain mass suspicious for low-grade glioma. After hospitalization and medical management with olanzapine and lurasidone the patient’s psychosis improved. The purpose of this paper is to add to the existing case reports that suggest a relationship between temporal lobe lesions and psychiatric illness, specifically psychosis. In addition, this case adds insight into the effectiveness of medical therapy for brain tumor patients that are not immediate candidates for neurosurgical intervention.

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Alexander Mironov ◽  
Sabu John ◽  
Jonathan Auerbach ◽  
Ghassan Jamaleddine

Arachnoid cysts are considered a rare neurological tumor, few of which exhibit any symptomatology. A 38-year-old Haitian American female with no past psychiatric history presented with rapid onset of psychosis. Workup for medical etiology proved to be within normal limits, with the exception of a left temporal lobe arachnoid cyst. The purpose of this paper is to add to a number of existing case reports that suggest a relationship between such lesions and psychiatric illness.


2021 ◽  
Vol 14 (4) ◽  
pp. e236615
Author(s):  
Catherine Veilleux ◽  
Gilles El-Hage ◽  
Nathalie L'Ecuyer ◽  
Michel W Bojanowski

A 24-year-old woman was referred to us for an intracranial haemorrhage in the left temporal lobe caused by a ruptured cavernous malformation; the bleeding extended over the left Heschl’s gyrus and Wernicke area. On admission, the patient had global aphasia. A few days later, she spontaneously improved but remained with mild residual comprehensive dysphasia. She reported hearing, in her right ear, recently heard words, which is consistent with palinacousis. Auditory acuity testing was normal. EEG showed focal slowing in the left temporal region with no epileptiform activity. During awake surgery for resection of the cavernous malformation, stimulation of the superior temporal gyrus did not provoke palinacousis. The patient made good recovery with complete resolution of the aphasia and no recurrence of palinacousis. We aimed to review this phenomenon and to provide a systematic review of the current literature.


Hippocampus ◽  
2017 ◽  
Vol 28 (1) ◽  
pp. 31-41 ◽  
Author(s):  
Branden S. Kolarik ◽  
Trevor Baer ◽  
Kiarash Shahlaie ◽  
Andrew P. Yonelinas ◽  
Arne D. Ekstrom

2014 ◽  
Vol 3 (1) ◽  
pp. 45-47
Author(s):  
N Rajbhandari ◽  
DR Shakya ◽  
N Sapkota ◽  
M Basnet

Culture, though difficult to define, is a collection of beliefs, attitudes, knowledge, customs, habits and behaviour which influence cognitions and social development of a patient. Cultures determine how sickness and illness are defined and that will determine what the first port of call is. It also colors the psychopathology. We here describe a case of a 36 years woman who presented with psychosis which co-occurred with left temporal lobe lesion who had significant delay in receiving proper treatment because of the ethno-cultural beliefs.DOI: http://dx.doi.org/10.3126/jpan.v3i1.11353 J Psychiatrists’ Association of Nepal Vol .3, No.1, 2014: 45-47


2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Tasneem Peeraully ◽  
Joseph C. Landolfi

A 54 year old lady presented with lethargy and 15 kg weight loss over the past year. CT scan of the head revealed left temporal lobe hypodensity with a discrete area of hemorrhage within the left mesial temporal lobe. Due to concerns about impending central herniation, lumbar puncture was not performed. MRI of the brain showed a large lesion of the left temporal lobe, extending to the left frontal lobe, and very patchy meningeal enhancement. There was a noncontiguous lesion of the right insula. A differential diagnosis of herpes simplex encephalitis (HSE) and multifocal infiltrative glioma was entertained. MR spectroscopy demonstrated an increased choline peak at the level of the medial left temporal lobe and MR perfusion demonstrated patchy areas of hyperperfusion within the left anterior temporal lobe, both suggestive of neoplastic disease. Following open brain biopsy, pathology revealed herpes simplex virus (HSV) positive nuclei in the cortex and subcortical white matter. As both herpes simplex encephalitis and low-grade glioma demontrate MRI findings of hypointensity on T1 images and hyperintensity on T2 images, the diagnosis of herpes encephalitis can be clouded by confounding factors, especially when cerebrospinal fluid (CSF) cannot be obtained.


Sign in / Sign up

Export Citation Format

Share Document